Mea Kākau: Judy Howell
Lā O Ka Hana: 4 Iulai 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
cervical smear and cervical punch biopsy
Wikiō: cervical smear and cervical punch biopsy

Anter

He aha kahi biopsy cervix?

ʻO kahi biopsy cervix kahi hana ʻokiʻoki kahi e lawe ʻia ai kahi liʻiliʻi o nā mea mai ka cervix. ʻO ka cervix ʻo ia ka lalo, ʻaoʻao haʻahaʻa o ka kōpū i loaʻa ma ka hopena o ka ʻōpū.

Hana pinepine ʻia kahi biopsy cervix ma hope o ka loaʻa ʻana o kahi mea maʻamau i ka wā o ka hoʻokolohua pelvic maʻamau a i ʻole Pap smear. Hiki i nā mea maʻamau ke hoʻopili i ke alo o ka papillomavirus kanaka (HPV), a i ʻole nā ​​pūnaewele i precancerous. Hiki i kekahi mau ʻano HPV ke hoʻokau iā ʻoe i ka makaʻu no ka hoʻomohala ʻana i ka maʻi ʻaʻai cervix.

Hiki i kahi biopsy cervix ke loaʻa i nā hunaola precancerous a me ka maʻi ʻaʻai cervier. Hiki paha i kāu kauka a i ʻole gynecologist paha ke hana i kahi biopsy cervix e nānā a mālama paha i kekahi mau ʻano, e like me nā wart genital a polyps paha (noncancerous ulu) ma ka cervix.

Nā ʻano biopsies o ka ʻeha

Hoʻohana ʻia ʻekolu mau ʻano hana e hemo aku ai i nā kikola mai kāu cervix:

  • Punch biopsy: i kēia ʻano hana, lawe ʻia nā ʻāpana liʻiliʻi o ke kiko mai ka cervix me kahi mea kani i kapa ʻia ʻo “biopsy forceps.” Pena ʻia paha kou cervix me kahi kala e hoʻomaʻalahi ai i kāu kauka e ʻike i nā mea kūpono ʻole.
  • Cone biopsy: Ke hoʻohana nei kēia ʻoki i kahi scalpel a i ʻole ka laser e hoʻoneʻe i nā ʻāpana nunui, like-cone o nā kiko mai ka cervix. Hāʻawi ʻia ʻoe i kahi anesthetic laulā e hiamoe ai ʻoe.
  • Endocervical curettage (ECC): I kēia kaʻina hana, lawe ʻia nā hunaola mai ke kahawai endocervical (kahi ma waena o ka pūpū a me nā ʻōpū). Hana ʻia kēia me kahi mea paʻa lima i kapa ʻia he "curette." He kihi kona e like me ka scoop liʻiliʻi a i ʻole ka lou.

Pili ke ʻano o ke kaʻina hana i ke kumu o kāu biopsy a me kāu mōʻaukala olakino.


Pehea e hoʻomākaukau ai no kahi biopsy cervix

E hoʻolālā i kāu biopsy cervix no ka pule ma hope o kou manawa. E maʻalahi kēia i kāu kauka e kiʻi i kahi laʻana maʻemaʻe. Pono ʻoe e nānā pono e kūkākūkā i nā lāʻau āu e lawe ai me kāu kauka.

E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i hiki ke hoʻonui i kou makaʻu i ke kahe ʻana, e like me:

  • aspirin
  • ibuprofen
  • naproxen
  • Warfarin

Hōʻalo i ka hoʻohana ʻana i nā tampons, douches, a i ʻole nā ​​lāʻau lapaʻau vaginal medicated no 24 mau hola ma mua o kāu biopsy. Pono ʻoe e hōʻalo i ka moekolohe ma kēia manawa.

Inā ke hele nei ʻoe i kahi biopsy cone a i ʻole kekahi ʻano biopsy cervix e koi ana i kahi anesthetic ākea, pono ʻoe e haʻalele i ka ʻai ʻana ma kahi o ʻewalu mau hola ma mua o ke kaʻina hana.

I ka lā o kāu koho ʻana, e ʻōlelo paha kāu kauka iā ʻoe e lawe i ka acetaminophen (e like me Tylenol) a i ʻole kahi mea ʻeha ʻē aʻe ma mua o kou hele ʻana mai i kā lākou keʻena. Hiki iā ʻoe ke ʻike i kekahi kahe koko māmā ma hope o ke kaʻina hana, no laila pono ʻoe e ʻūlū i nā pads wahine. He manaʻo maikaʻi pū kekahi e lawe mai i kahi lālā o ka ʻohana a i ʻole hoaaloha paha i hiki iā lākou ke hoʻokele iā ʻoe i ka home, keu hoʻi inā hāʻawi ʻia ʻoe i ka anesthesia ākea. Hoʻomoe paha ka anesthesia ākea ma hope o ke kaʻina hana, no laila ʻaʻole pono ʻoe e hoʻokele a hiki i ka wā i pau ai nā hopena.


He aha ka mea e manaʻo ai i ka wā o kahi biopsy cervix

E hoʻomaka ke koho ma ke ʻano he pelvic exam maʻamau. E moe ʻoe i lalo ma ka papa hōʻike me kou mau wāwae i ka stimrups. A laila e hāʻawi aku kāu kauka iā ʻoe i kahi anesthetic kūloko e hoʻopau i ka wahi. Inā ke hele nei ʻoe i kahi biopsy cone, hāʻawi ʻia iā ʻoe kahi anesthetic laulā e hiamoe ai ʻoe.

E hoʻokomo kāu kauka i kahi speculum (kahi mea olakino) i loko o ka ʻōpala e wehe i ke kahawai i ka wā o ke kaʻina hana. Holoi mua ʻia ka cervix me kahi hopena o ka vīnega a me ka wai. Puni paha kēia hana hoʻomaʻemaʻe, akā ʻaʻole pono ʻeha. Hiki ke holoi ʻia ka cervix me ka iodine. Kāhea ʻia kēia Schiller's test, a hoʻohana ʻia ia e kōkua i kāu kauka e ʻike i nā ʻaʻa ʻokoʻa.

E wehe ke kauka i nāʻaʻaʻa maʻamau me ka forceps, kahi scalpel, a i ʻole curette. ʻIke paha ʻoe i kahi ʻano pinch liʻiliʻi inā hoʻoneʻe ʻia ke kiko ma ka hoʻohana ʻana i ka forceps.

Ma hope o ka pau ʻana o ka biopsy, hiki i kāu kauka ke ʻūlū i kou cervix me nā mea hoʻoulu e hoʻemi i ka nui o ke kahe o ke koko āu e ʻike ai. ʻAʻole koi kēlā me kēia biopsy i kēia.


Loaʻa hou mai kahi biopsy cervix

ʻO nā biopsies ʻo Punch nā ʻōnaehana o waho, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home ma hope o ke kahakaha ʻana. Pono nā kaʻina hana ʻē aʻe iā ʻoe e noho i ka haukapila i ka pō.

Ke manaʻo nei i kahi cramping mālie a me kahi kiko ke hoʻi hou ʻoe mai kāu biopsy cervix. Hiki paha iā ʻoe ke ʻike i ka cramping a me ke kahe ʻana no hoʻokahi pule. Aia i ke ʻano o ka biopsy āu i hana ai, ua kapu paha kekahi mau hana. ʻAʻole ʻae ʻia ka hāpai kaumaha, ka moekolohe, a me ka hoʻohana ʻana i nā tampons a me nā douches no nā pule he nui ma hope o kahi biopsy cone. Hiki paha iā ʻoe ke hāhai i nā palena like ma hope o ka biopsy punch a me ke kaʻina ʻo ECC, akā no hoʻokahi pule wale nō.

E hoʻomaopopo i kāu kauka inā ʻoe:

  • ʻeha ʻeha
  • hoʻomohala i kahi kuni
  • ʻike i ke kahe kaumaha
  • e hoʻokuʻu i ka maʻi pilau

Hiki i kēia mau hōʻailona ke hōʻailona o kahi maʻi.

Nā hopena o kahi biopsy cervix

E kāhea aku kāu kauka iā ʻoe e pili ana i kāu hopena biopsy a e kūkākūkā me ʻoe i nā kaʻi e hiki mai ana. ʻO kahi hōʻoia maikaʻi ʻole he mea maʻamau nā mea āpau, a ʻaʻole koi ʻia ka hana hou. ʻO kahi hōʻoia maikaʻi ʻo ia hoʻi ua loaʻa ka maʻi ʻaʻai a i ʻole nā ​​cell precancerous a pono ʻia ka lāʻau.

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